Lincoln County EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

7509 Issued in ID

Legal business name

LINCOLN COUNTY EMS

Practice address

111 W B St Ste C
Shoshone, ID 83352-5364

Phone

(208) 544-7003

NPI assigned

Aug 30, 2006

Last updated

May 9, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cresley McConnell

Title

Chairman

Phone

(208) 544-7003

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1932218914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W B ST STE C",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "833525364",
            "telephone_number": "208-544-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W B ST STE C",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "833525364",
            "telephone_number": "208-544-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "CRESLEY",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "208-544-7003"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "ID",
            "license": "7509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807248500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith E Davis (Shoshone Family Medical Center)
• Matthew E. Kent, O.D.
• Lincoln Community Health
• Lincoln County Care Center LLC
• Lincoln County EMS
• Andrea Madson, LMSW
• Matthew E. Kent, O.D.,P.a. (Little Wood Vision Clinic)
• Physician Management Services of Idaho, LLC
• Krista Profit
• Christopher Daniel Ritcheson

• Land Ambulance in Shoshone, ID
• Providers in Shoshone, ID by specialty
• Land Ambulance in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.